RN Care Manager- Dane/Columbia
About The Position
The RN Care Manager coordinates care and provides support and education to Wisconsin Family Care Program members in Dane and Columbia counties, helping them navigate their care. The role partners with a social services care manager (Care Coach) and collaborates on members’ needs and care plans. It is a field position involving work at non-company locations, including members’ homes, with travel of up to 40% throughout the coverage area and mileage reimbursement. The posting also describes the position as remote, with occasional travel to Humana offices for training or meetings. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. CST, with no nights or weekends. The role is part of Humana’s driver safety program and requires a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits. It is patient-facing and requires TB screening. Home or hybrid home/office work must be performed from a dedicated space that protects member PHI/HIPAA information; stated internet requirements include at least 25 Mbps download and 10 Mbps upload.
Requirements
- Associate degree in nursing.
- Registered Nurse licensed in the state of Wisconsin.
- Valid state driver’s license.
- Proof of personal vehicle liability insurance with at least 100/300/100 limits.
- Must complete TB screening if selected for the role.
Nice To Haves
- Bachelor’s degree in nursing.
- One or more years of experience with the Family Care target group: frail elders and adults with intellectual, developmental, or physical disabilities.
- Care Management experience.
Responsibilities
- Partner with a social services care manager (Care Coach) and collaborate on an ongoing basis regarding the member and the member’s plan.
- Perform face-to-face health-related assessments upon member enrollment and at least every six months thereafter in the member’s setting.
- Coordinate, perform, and track quarterly face-to-face visits and monthly phone contacts.
- Participate in developing, reviewing, and coordinating the member’s plan of care.
- Take the lead on all health issues for the member.
- Contact and coordinate with acute and primary care providers.
- Identify and coordinate clinical and functional supports needed for the member’s health and safety.
- Educate members on and promote prevention and wellness, and mitigate assessed risks.
- Document activity and complete required paperwork.
- Travel throughout the coverage area and, occasionally, to Humana offices for training or meetings.
Benefits
- Health benefits effective day one.
- Paid time off, holidays, volunteer time, and jury duty pay.
- Recognition pay.
- 401(k) retirement savings plan with employer match.
- Tuition assistance.
- Scholarships for eligible dependents.
- Parental and caregiver leave.
- Employee charity matching program.
- Network Resource Groups (NRGs).
- Career development opportunities.
- Medical, dental, and vision benefits.
- Short-term and long-term disability.
- Life insurance.
- Bonus incentive plan.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
